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Cincinnati bowtie 

When you fuck a girl with a tracheotomy, in her tracheotomy and blood pours over the sides of her neck.
That handicapped chick was so kinky, she let me give her a Cincinnati bowtie.
Cincinnati bowtie by jonesmyth November 4, 2009

Cincinnati Bowtie 

A Cinncinati Bowtie is a hospitalizable and perhaps fatal sex act involving one sexual partner prolapsing their anus, cutting it out, stretching it, and then tying it around another's neck.
Tom: Never go shopping in Ohio!
Leo: Why?
T: You might find yourself on the receiving end of a Cincinnati Bowtie!!!
L: I think I'm going to vomit.

cincinnati bowtie 

When a male inserts his erect penis into the mouth of an invalid while using the person's ears as a form of power steering.
Was working the afternoon shift at the Happy Acres Home when Mrs. Norman in B12 was gasping and pointing to her mouth; I knew immediately that she wanted a Cincinnati bowtie.
cincinnati bowtie by cumqwat April 16, 2007

cincinnati bowtie 

The act of tying a used condom around the female's neck after sexual intercourse.
There was no trashcan, so I gave Cindy a Cincinnati BowTie
cincinnati bowtie by Pantalone Jones September 28, 2005

cincinnati bowtie 

the term for inserting your penis into a females neck, who has a tracheotomy, and as you start going at it harder she begins to bleed, with blood squirting out on each side resembling a bowtie.
This was illegally performed in a hospital in Cincinnati and made the news, the term cincinnati bowtie stuck.

Cincinatti Bowtie 

When a female or male has throat cancer and gets a breathing hole in the neck. Another male penetrates that hole with his penis. The rapid penetration causes the hole to bleed while the person is trying to breath out of the hole, causing the blood to spray in the formation of a bow tie. Made famous in the movie "40 Year old Virgin".
Mooj: It's not about these rusty trombones, and these dirty sanchez.

Andy Stitzer: Please stop.

Mooj: And these cincinatti bowties, and these pussy juice cocktail, and these shit stained balls.
Cincinatti Bowtie by Sahil Desai February 9, 2008